Referral Specialist

PRIMARY CARE PARTNERS INC•Grand Junction, CO

5d•$16 - $18

About The Position

Primary Care Partners is dedicated to providing the most exceptional primary care services to our patients. To accomplish this goal, we continuously promote advancements in clinical practice and the utilization of state-of-the-art technology benefiting both patients and employees. We are seeking a Referral Specialist to join our team! This position is primarily responsible for the tracking of outstanding patient referrals and follow up calls to patients to secure an appointment, the maintaining of referral folders including archiving, entry into patient accounts, and providing direct communication with referring provider offices on status on pending referral requests.

Requirements

Proven ability to process high volume of data efficiently.
Computer Skills: Highly proficiency in Microsoft Word, Microsoft Excel, and e-mail.
Prefer skills in using referral software, using health plan web sites and familiarity with electronic medical records.
High School Diploma

Nice To Haves

Previous medical office or healthcare setting experience preferred.
Prefer skills in using referral software, using health plan web sites and familiarity with electronic medical records.

Responsibilities

Organize medical records for referral, checking for completeness and accuracy.
Sending referrals/authorization via chart2pdf email, electronic, insurance portal, authorization system, and fax.
Register referrals for insurance company approval.
Complete the colonoscopy/EGD worklist.
Complete paperwork and fax Sleep Studies for authorization.
Complete the worklist according to protocol time constraints, send ASAP/STAT first, task staff & providers for changes or clarification, create summary of care, annotate in chart , fax referrals, check fax system for completion for Primary Care Partners (6 offices, 66+ providers, to over 1000 specialists/offices). Follow STAT referrals to point of scheduling.
Altera EHR tasks-monitor tasks throughout the day, and respond to tasks in a timely manner, with accurate and complete annotation in charts
Monitor voice mail throughout the day and respond to patients/families, staff, providers, and specialists offices. Calls prioritized according to stated needs. Communicate with involved parties through phone, patient portal, or EHR tasks. Annotation entered into EHR chart.
Responsible for faxes, tasks, voicemails, worklist, and referral loop
Submit Child Find 0-3 yrs on state internet website.
Follow RMHP EConsult program and attach documents as needed for providers as well as submit consult to billing.
Attend collaborative monthly team meetings, focused group meetings, and trainings as available.
Collaborate with providers, staff, patients, families, and specialists offices to trouble shoot barriers to obtaining referral acceptance.
Pilot special projects for PCP IT, Phressia, and RMHP.
Collaborate and cooperate with referral team, office managers, care coordinators, chronic care coordinators, and prior authorization team to optimize work processes.
Communicate with triage, providers, back office staff regarding issues and changes needed for a referral. Annotating changes in chart.
Generating and editing referrals as needed.